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HomeMy WebLinkAbout0087 PINEVIEW DRIVE 721- f ' Commonwealth of Massachusetts Sheet-Metal Permit IC1 CIA1 0 Parcel p ' , ` Date Permit# �(,�/rl 1 i /-3 Rchnriated Job Cost: $ /g,. 9"79 Permit Fee: $ � ��1 D Ul �Elr� t .. Plj a s Submitted: YES X NO Plans•Reviewed: YES. NO I B oil , ei ss License# - ?Z YL Applicant License# X/ 41,11, Busmess Information: Property Owner/Job Location Information: i/ IC 1�� // ���1 Name:Name ,�; •��,f1 �. 1 Street /���! 57' Streets U -I nol i 24-j,3 it City/Town 3,�� Tel`'' hone: Telephone: W Photo I D. required/Copy of Photo I.D. attached: YES x NO,. staffinilti2l J= ' 1-unr 'cted license J;2I/,M174, � -restricted to dwellings 3-stories or less and commercial up to 10,000 sq. fL/2-stories or less Residential: l-2 family Multi-family Condo/TownhousX-PR PERMIT Co ,mercial: Office Retail Industrial Educational 14 2013. Fire^!Dept.Approval Institutional Other TOWN.OF,BARNSTABLE Sq ,Hare Footage: under 1,0,000 sq.ft. over 10,000 sq. fL Number of Stories: i metal work to be completed: 'New Work: Re ' aHVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents ' Air Balancing i(4 ik' Provide,detailed description of work to be done: lo-,o r Plill I TT IS� y 1. r - , 4SURANCE COVERAGE: E h have a current ' il' insurance policy or its equivalent which meets the requirements of M.G,L Ch. 112 Yes No i' liab rty� P Y q � ❑ ❑ fi ;: you have checked YYa ,indicate the•type of coverage by checking the appropriate box below: �•�; liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ WNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 11,2 of!itf e assachusetts General Laws,and that my signature on this permit application waives this requirement' " fill' Check One Only ...., t#,' hj �F' s , Owner ❑ Agent ❑ � � ;1. ( I Signature of Owner or Owner's Agent r checking this boxD5,I hereby certify that all of the details and information 1 have submitted(or entered)regarding this application are true an,,I, :curate to the best of my knowledge and that all sheet metal work and installations performed under the permit Issued for this application will,{fie, i compliance with all pertinent prouksion of the Massachusetts Building Code and Chapter 112 of the General Laws. A\ k ids : Duct inspection required prior to insulation installation:YES NO I ' Progress Inspections Date Comments t ! I ilfi'. iA Final Inspection ! Date Comments lid i �It i ! Pi 'I Type of License: %Master 1 le ❑ Master-Restricted I 1p yrrown ❑Joumeyperson� Signature of Licensee {! rrnit# YP ❑Joume erson-Restricted s ,j License Number. I a. _$ ❑� _ . - !f Check at www.miss:govldpl tt ,Ljr �t � itl;f • IIIIN f II nQ-tnr Sinnahim of Permit Annrovai f The Commonwealth of Massachusetts Department of Industrial Accidents ' Office of Investigations 600 Washington Street Boston,MA 02111 N".mass.gov/dia Workers' Compensation Itbsnrance Affidavit: Builders/Contractors/Electricians/Pluanbers Applicant Inforrrzation Please Print LeLibly Name N nsmess/Or �\(2 . (B ganization/Individuat)_�C.•�'� F, Address: City/State/Zip:Ch�e ����(-I)�A Cg G �— Phone.#: Lo _ F2.,E] I employer? Check the appropriate bog: employer with •4. ❑ I am a general contractor and I Type of project(required:.yees(fitll.and/or part-tmme).'� have hired the gubcontractors 6• ❑New construction .'sole proprietor or partner- listed on the•attached sheet 7. []Remodeling d have no employees These sub-contractors haveg ❑Demolition g for me in any capacity.. employees and have workers' rkers' comp.insurance comp..msurance.$ 9 ❑Building addition d_] 5. 0 We are a coiporation and its 10.❑Electrical repairs or additions '3.❑ I am a homeowner doing all work officers have exercised their 11, Plumb' ni el£ ❑ ?�repairs or additions ys [No workers comp, right of exemption per MGL insurance required.]t c. 152, §1(4), and we have no 12❑ Roof repairs employees. [No workers' 13.t&Other ------------- comp,insurance regtii ed.] `Any applicant that checks box#1 must also fill out the section below showing thew workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Conhactors that check this box rmrst attached an additional sheet showing the name of the sub-contractors and state whether ar not those entities have employees. 1f the sub�ontractnrs have employees,they must provide their workers'comp.policy number. . Iam an emplayer that is providing workers canipensation insurance for my employees. Below is the policy and job site information, Insurance Company Name: Policy#or Self-ins.Lic.# ` Expiration Date: i Job Site Address: ' City/State/Zip: Attach a copy of the workers' compensation poficy declaration page-(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imp osition of fine tip to$1,500.00 and/or one-ye criminal penalties of a 3` �prisomnent, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy-of this statement maybe forwarded to the Office a Itrvesti lions of the DIA for insurance covera e verification" I do hereby certi der the pins enalties operjurythat the information provided above is tru and correct f. Si tt7re: � � - • 'Date: Phone#: D n Official use only. .Do not write in this area, to be completed by city or.town affcciaL City or Town: t Perini tU.dense# 0 'Issuing Aiithority(circle one): i _ I.Board of Health 2.Building Depar rent 3. City/Town Clerk .4.Electrical Inspector.5.Plumbing Inspector I G. Other p Contact Person: . •Phone#: . ., I , ,4c R CERTIFICATE OF LIABILITY INSURANCE °Ao7';o�0 3Y' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen a. PRODUCER NAME:CT Erica H O'Connor HART INSURANCE AGENCY,INC. PHONE 508-758-7326 x205 FAX 508-759-7633 243 MAIN STREET ac No PO BOX 700 E ADDRESS: E S: BUZZARDS BAY,MA 025320700 INSURE S AFFORDING COVERAGE NAIC N INSURERA: ARBELLA PROTECTION INS CO 41360 INSURED Carl F Riedell&Son Inc INSURER B: ARBELLA INDEMNITY INSURANCE COMPANY 10017 778 Main St OSteNlile,MA 02655 INSURER C: INSURER D o INSURER E: - INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MMI D M LIMITS A GENERAL UASILITY 8500033836. 05/01/2013 05/01/2014 EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE T RENTED P o c rren $ 300,000 CLAIMS-MADE ®OCCUR MED EXP An one Person) $ 5,000 PERSONAL&AOV INJURY E 1,000,000 GENERAL AGGREGATE S 2,000.000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 - PRO- POLICY lOC $ A AUTOMOBILE LIABILITY 1020018223 05/01/2013 05/01/2014, COMBINEDSINGLELIMIT - 1,000,000 a accident ANY AUTO BODILY INJURY(Per parson) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident $ S AUTOS AUTOS ) NON-OWNED PROPERTY DAMAGE $ HIRED AUTO AUTOS ar "de t E A UMBRELLA I" OCCUR 4600033837 05/01/2013 0541120 EACH OCCURRENCE $ 1,000,000 EXCESS LIAB HCLAIMS-MADE AGGREGATE S DED RETENTION$ 10,000 - $ B WORKERS COMPENSATION 0054000513 05/01/2 05/01/2014 1 V wcsrAru• OTH- AND EMPLOYERS'LIABILITY Y/N I --- ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT a 500,000 OFFICERIMEMBER EXCLUDED? FN NlA (Mandatory in NH) E.L.DISEASE•EA EMPLOYEE $ _500,000 0 y68,describe Under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ SOO,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,AddrdGm!Remarks Schedule,X more specs is required) CERTIFICATE HOLDER CANCELLATION PROOF OF INSURANCE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE r 1 C TION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of A O i G()IUIII ONVVE.AV l OF MASSACHUSETTS o - m m ••rs :.-c m r"�121.. o azzalm dat�r�kl�i HEFT METAL WORKERS AS A r',IASTEii-L)P�1FIESI"l(-TE.D , ISSurs r HE' ABOVE i-iccNisr.ro: C,ARL A PIE:DELL_ trt EARL F RIEDE:LL. AND SONS 778 MAIN ST OSTERVILLE M 0 65.5-201. 1 � �i1 09/28/1:5 5059) - L `P��F,RIEDEL(��oy Plumbing * Heating * Air Conditioning Quality Service Since 1932 P IOP®S AL i e d e 1 778 Main Street Osterville, MA 02655 www.carlriedell.com FSrABUSHED 193Z (508) 428-6365 Fax (508) 420-0180 3� PHONE DATE TO. Bob Brunzell 508-428-8421 /30/2013 JOB NAME/LOCATION 8�Pine View Road �Cotuit, NIA 02635 2 1/2 ton attic a/c system JOB NUMBER , JOB PHONE .�.i�_y •xw<:f-: br'�,><.„}:„ +rr, a a - -iF, �d,: t`ka .r�r a;:tii���; ..�..'4frr.�lEt � 6 4 v .i`'S'.�f'k "�:�"'� '"`l " s* r..w�,,. � ;w;t:: w'f� '. Riedell will install an "American Standard" 2 1/2 ton attic installed a/c system that will provide.total cooling comfort in your home.An "American Standard" 2 1/2 ton air handler along with insulated duct work will be installed in attic area supplying a/c to living area via ceiling diffusers. Riedell will install a 2 1/2 ton 13 seer "American Standard" condenser outside of home on a supplied precast pad. Refrigerant lines will be piped from air handler to condenser to complete system. Riedell will conceal exposed refrigerant lines with attractive slim duct cover. System will be wired by Riedell. Riedell will charge, start, and test system for proper operation. *System components* "American Standard" -Condenser 2 1/2 ton attic installed -Air handler split a/c system -Line set 4A7A3024 condenser -Pad TAM024 air handler -Aux pan 13 seer _ -Drain R-410A refrigerant -Insulated duct work j -Slim duct cover *10 year warranty on compresser&parts -Wiring after equipment is registered within 60 days of installation We kpose hereby to furnish material and labor—complete in accordance with the above specifications,for the sum of: Ten housand Nine Hundred Seventy Eight and 00/100 Dollars dollars($ -10,978.00 �• Payment to be made as follows: A deposit$5,490.00 with signed proposal is requested. Payments are due as work progresses a7 lance is due upon completion. ,:; All material is guaranteed to be as specified.All work to be completed in a professional manner according to standard practices.Any alteration or deviation from above spedfiea- Authorized / bons involving extra costs will tie executed only upon written orders,and will become an extra Signature charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tomado,and other necessary insurance.Our Note:This proposal may be workers are fully covered by Worker's Compensation insurance. withdrawn by us if not accepted within 30 days. Acceptance of Proposal—The above prices, specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work Signature as specified.Payment will be made as outlined abo Signature Date of Acceptance: WebbConnect- Online Ordering System for customers of F. W. Webb Company Page 1 of 1 Welcome Carl A Riedell 0 Hems Shopping Cart I Checkout LOGOUT ENV,WERTI COMPANY bbaim Search by Keyword or Part Number e 01kl4a(3 v+r' as1 HOME MYACCOUNT TOOLS RESOURCES MY CARTS HELP Product Categories Heat Loss/Gain Calculator Chemicals&Solder The heat loss/gain calculation uses the IBR method to determine the heating needs for a home.It estimates Controls The maximum heat loss in BTU/hr for a coldest day(helpful for furnace sizing) The total yearly heat loss in millions of BTU Duct,Registers 8 Grilles , The total yearly cost for fuel Electrical a Fire Protection BACK TO HEAT CALC HOME PRINT THESE RESULTS Fittings Building Input . Roominput Calculation Results Gas Products Name Robert Brunzell Label Ext height floor HVAC Location 87 Pineview Dr Wall sq.n. Building Rooma Heating Equipment Cofuft Ms. Room 130 8 1040 Gain 29246 Label Zone Gain Gain Loss Loss Base BTU BTU CFM BTU CFM Board Summer design 91 Li Heating Parts temp. Loss 32971 Room 27246 908 32971 623 57 ADD A NEW ROOM BTU #1 Hoses Winter design -10 Gain 975 Indoor Air Quality temp. CMF Measurement&Instrumentation Room temp. • 71 Loss 623 Motors&Circulators Leeway as% 10 CFM ` Number of 5@400 Base 57 Pipe&Tube people - Board Piping Specialties Ground temp. 50 C Tonnage 2.4 Plumbing Cooling air 50 Pumps Warming air - Refrigeration CHANGE INFORMATION Safety Sanitary Solar Steam Specialties O Tanks Test Equipment&Gauges Tools Valves Venting Products Water Systems My Account Tools Resources My Carts Help Edit Account Heat Loss/Gain Calculator Online Catalogs Current Cart ,. Using WebbConnect Saved Carts Product Cross Reference Line Cards Saved Cans - FAD Pending Orders Product Specification New Cart Product Codes OrderslBids Products MSDS Information pending Orders Product Abbreviations AR Information Plumbing&Heating Industry Links - Troubleshooting Invoices HVACIRefrigeraton Locations Contact Us LP&Natural Gas News&Events Connecticut Divisions Residential Water Systems - News - Maine Our Company F.W.Webb Company Industrial PVF Events Calendar Massachusetts, Corporate Frank Webb's Bath Centers Industrial Plastics New Hampshire Mission Statement Utilities Supply(USCG) Valve Automation&Controls Specialty Markets New York Company History Victor Commercial&Industrial Pumps Government Services Rhode Island Green Initiative Webb Bio-Pharm Biotech&Pharmaceutical Maple Sugar Industry Vermont Credit Application - Webb Fire Protection Fire Protection Ski Industry Employment Webb Kentrcl/Sevco Mechanical Sales Sanitary Webb Pump&Service Webb Water Systems Copyright @ 1999-2013,F.W.Webb Company•All Rights Reserved.I Terms of Access I Warranty I Privacy Policy yea i:n http://webbconnect4.fwwebb.com/bin/fwk?wc4.hc.next 8/9/2013 N oBoe WLW L/fit/ Z/Z'TDB �N - w IR : �rNtO�' 4LEcT�c. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel U Application # C a 1 Health Division Date Issued 1 ( 10 Conservation Division Application Fee Planning Dept. Per ' ��� Date Definitive Plan Approved by Planning Board 4C�'Dl Historic - OKH Preservation / HyannisSEP 1 O R Project Street Address r -C- "V i f UIL) '1) r, v B Village �� t Owner bb2rtr 3rVn Z ell Address QL� 7 //17-� 1/; V -C Telephone ���� ' �f a—� �d fU,� f', 4A 02_6.?6� Permit Request a-d i i-Ii a'n 1•e ,° �r S�i'✓1 �a y S-e- ✓' / 2�� S ke DO 3 Crf_f_*,, r000L 0i f-'r fac_cic deck, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation •Z Construction Type Lot Size • 5-3 n c-r e-S Grandfathered: ❑Yes ?ICNo If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure 11 r1/- Historic House: ❑Yes -No On Old King's Highway: ❑Yes 0 Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _/ne/w Total Room Count (not including baths): existing `7' new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New �� Existing wood/coal stove: ❑Yes �o Detached garage: ❑ existing ❑ new size ❑ existing ❑ new size _ E ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed:existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ANo If yes, site plan review# Current Use Proposed Use � APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name b fy� a 2-2-" Telephone Number -'5vp, !!aie' Address l0 S� N e cdAd U)ti License # S Z 0 3 ;L Cia/Ui f, 12A 01 "3 5— Home Improvement Contractor# Z d 7tc-"0 e- Al k,1 � f �d Worker's Compensation # %U/,�/C� ��� �3Ivy ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR �� DATE _3 10 oe Zv r ! ' FOR OFFICIAL USE ONLY AI?PLICATION# DATE ISSUED ,! MAP/PARCEL NO... f k ADDRESS VILLAGE ' OWNER DATE OF INSPECTION: F0UNDAT10N;t,670 ot� 9 o?. 0 rtotck- FRAMEGvo'x- 9 a4 r a a µ� ,�il X o p7 INSULATION. 01 t FIREPLACE - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL P GAS: - f=. ROUGH e ^ •i =4. FINAL r - 'FINAL BUILDING -> 7C//V , ` K to a �o/QAU� e� r 4aP aF DATE CLOSED OUT 3 r - ASSOCIATION PLAN NO. j� The Commonwealth of Massachusetts Department of Industrial Accidents W Office of Investigations ' a 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeLyibly Name(Business/Organization/Individual): G( ,Z Z M� 1�r ✓2 /t en, - Address: -e uJ 7'd u1 r ��• , City/State/Zip: Co-�V i 'a4 3 J_ Phone.#: J` V�' �Z�' -9.S—/P Are you an employer? Check the appropriate box: Type of project(required):. I am a employer with Z/p f. 4. ❑ I am a general contractor and I employees(full and/or part-time). * have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. .❑Remodeling. shipand have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' coin insurance.$ 9• lding addition [No workers' comp. insurance P• required.] 5. ❑ We are a corporation and its' .❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions . myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees.1[No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy in t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating.such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees.: If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Cl f. �G/^ 2 //7�7/q rh� D ; Policy#or Self-ins. Lic. #:V4dCC 3,27J Expiration Date: Job Site Address: /Y) !� / t(J) fry V� 1 City/State/Zip: /7/ f d2,4 3s Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the.Office of Investigations of the DIA for insurance coverage verification --I do-her-eb3�cer-ti6 un-der-th_e-pains-and-penalties-of per-jur-y-that-the-inf"ormatian prou'd .-above-i tr-ue-and cor-r-ect. Signature- Date: Phone#: t�o�Z�� — Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: �f �i ze U�ooavnzo�rcurealCfi c�,./�/laaaaclzuaeha Office of Consumer Affairs&B siness Regulation License or registration valid for individul use only _ - HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: �,l` Registration:.,;..100740 Type: Office of Consumer Affairs and Business Regulation Expiration: 6_/23/2012 Private Corporation 10 Park Plaza-Suite 5170 9 Boston,MA 02116 UAPIZZI HOME IMRRQVENfE;tJT,1NC. Thomas Capizzi,jr. == 1645 Newton Rd. Cotuit, MA 02635 Undersecretary Not valid �ousignat re Massachusetts- Depai-tment of Public Safety Board of Builditia Rc ulations and Standards Construction Supervisor License License: CS 57032 Restricted.to: 00 r. THOMAS.X.CAPIZZI.J.R 1645 NEWTOWN RD COTUIT, MA 02635 . Y Expiration: 9/26/2011 Cu[lull issioner Tr#: 4113 Client#:47298 CAPIHOM ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYY`) 06/04/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME:CONTACT Karen A Walther,CISR Rogers$Gray Ins.-So.Dennis PHONE 508-760-4630 508-258-2230 434 Route 134 AIC,No,ext: (AIC,No): P.O.Box 1601 ADDRESS: waltherka@rogersgray.com South Dennis,MA 02660-1601 CUSTOMER ID INSURER(S)AFFORDING COVERAGE NAIC# INSURED - INSURER A:National Grange Insurance Co. ' Capizzi Home Improvement,Inc. ACE Property$Casualfi'Ins.Co INSURER B: p •t •� Capizzi Enterprises,Inc. 1645 Newtown Road INSURERC: Cotuit,MA 02635 INSURER D: • INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I TYPE OF INSURANCE DL UBR POLICY EFF POLICY EXP LTR - NSR - POLICY NUMBER MM/DDNYM (MMIDDNYM LIMITS A GENERAL LIABILITY MPB1075H 06/08/2010 06/08/2011 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence1 $500,000 CLAIMS-MADE 51 OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY JECTPRO LOC $ A AUTOMOBILE LIABILITY M7 M28044 06/08/2010 06/08/2011 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $500 000 BODILY INJURY(Per person) $ ALL OWNED AUTOS . BODILY INJURY(Per accident) $ X SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) X NON-OWNED AUTOS Uninsured $250000/500000 Underinsured $250000/500000 A X UMBRELLA LIAB X OCCUR CUB1076H 06/08/2010 06/08/2011 EACH OCCURRENCE s5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DEDUCTIBLE $ X RETENTION $ 10000 $ B WORKERS COMPENSATION NWCC45843208 12/25/2009 12/25/201 X WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN T RY LIMITS I E ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? �N NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Carpentry CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town of Brewster ACCORDANCE WITH THE POLICY PROVISIONS. 2198 Main St Brewster,MA 02631 AUTHORIZED REPRESENTATIVE i ©198 -2009 ACORD CORPORATION.All rights reserved. ACORD 25(2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S52551/M52541 KW ' CAPIZZI HOME UvIPROVEMENT INC. Page 7 of 7 SPECIFICATIONS AND ESTIMATES STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I, � OWN THE PROPERTY LOCATED,AT IN + MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR,THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER: OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit, MA 02635 APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: /HERE G`EAM60'Y T%y,4T THIS ,GOT/J NOT ,t,OCri TEO /N FEDERAL(. F,L 000 P i/" S ShVWN ON THE FEPEMALC, F4,00,P INSURANCE RATE MAP FOR THE c, L CO UN/TY RANE1. N0, t EFFECT/YE. R E ONO, I hereby certify that this foundation is located on the lot as shown .and conformed to the Town of Barnstable Zoning Regulations,regarding' setbacks from street li was n c nes lot lines at the time it TZ 2� 1 I --- 777 7 -- LOT- o -LOT �9 . z3, l�5 s,,F < Lo- s) DE co EXISTING FOUMDATION N ti-I -- l25'00 PINE VI . E w DR Troia. ^Or-,P"M ma AvrM,pe rf0*• FOUNPAT/ON-4OCAT/ON PLAN A/fr JIYSTJrUweNT JUTyZrYANO /s FOR THE USE OA'.THE BANK'ON4 Y. UNDER NO �D PINEVIEW C/,�U,�►SLOT DRIVE T.dNCES Al�� OFFSETv TO Be USER FOR° FENMI, W,44 C,. HEO�'ES, COT U I T (BARN5TABLE ) /MASS . ETC. . OwNEv BY: . CEDAR_ - DAR ACRES. REALTY TRUS OF E /NEED G '/lVG /NC. ROBERT J\ 60 EA T /'44K OUM HIGHWAY E.dsT Fi4�t 04vrH ^4. O,ZS36 E. � . RAYMOND �; N�o.2i5ss - COALE: ,i SHEET: S;,11141 : S. IR o� I - 3o Y Ig,l9. � /o�-01 WWBY. dWCrfEAPPR DY: PUN NO. RAT The Town of Barnstable Department of Health, Safety and Environmental Services • = Building Division 619.��� 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Cms. Fax: 508-790-6230 Building Commissic �� - Home Occupation Registration �/k'j ft-, . Date: V 8 - c( (a Name: tA'•L H'0'E L d2�STr7 i� Address:- :►J E t n- Village: CI o y ; Type of Business: 4o r t Eo L 12 P A � 21\3 -Map/Lot:-0 V6 INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance. provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor, no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit, located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings, and there is no outside evidence of such use. • No traffic will tie generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors, electrical disturbance.heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials;in excess of normal household quantities • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit I, the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Date. 7/O R i MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) TOWN OF pale 314AI13 Perm i P ' Building Owtter•'S AT: Locatioit 7 001AIL VjiFIA! pit, Name -'Ge5/w �® TO % Type of Occupancy :G t uj6 LL•1,ye-- New ❑ Renovation ❑ Repi acement ❑ jZ _"77z 7Uk - Plans Submitted Yes ❑ No y e ]C Z ¢ r! N N V Jr t• CC - h 6 In a: O m W J in cc W O O O W F- < cc Z 7- O Cr < 97, rn l- < o: O O O Z W W F- N 6 fr W < N tl W = z O > W INs1 W 0 J Z < x lS, Q W Ir W p. W r _ cc tl F- Z _J Z. f. W W tl O > U. 1- V J i- W Z < W < ¢, 1' >- a1 m Z O Z W O < ty > tr W J Z, �. a: < < O O W ¢ O W H > G rs f- 0 SU6—BSMT. �� BASEMENT 1J IST FLOOR 2ND FLOOR + f 9RDFLOOR 4TK FLOOR 6TK FLOOR GTK FLOOR, 7TK FLOOR STK FLOOR s Pr i n or T1•" j art.2 Crhtck One: Certificate Installing Company W&M SAYCE LANE — ❑ Corp 34 ROSEMARY Address ❑ Partnership _ r 4EE • irm/Company . _ --- Business Telephone _ Name of l.Icensed Plumber or Gasfitter 1 I hereby certify that all of the details and info Imalron 1 lave uobmilled for entered)in above areplsealrnn arrlrue and*reveal#to five two wf aw knoviedre and that All plurnbuq work and inuallsfrons performed under 1'ermfl issued for thu application will be in romptanaa wnx a1 paeuawi Provisions of tin Nasaehesetu Slate Gil Code anJ L"apfer 142 c f Ilse General Lases. By PE LTCENSE: 4 Title -' ra umber sf i tt`pr Sianriture of ldcense4 City/Town: fter plum er or GasfitterAPPROVED (OFFICE USE ONLY) uFneyma,R - /� !Ce�tSe IQiArtl6er r . BELOW FOR OFFICE USE ONLY r FINAL INSPECTION SKETCHES PROGRESS INSPECTION C A FEE f �� NO. $7 _ APPLICATION FOR PERMIT TO DO GASFITTING t NAME A TYPE OF BUILDING � LOCATION OF BUILDING Corder j PLUMBER OR GASFITTER NORM SAYCE 3.4 ROSEMARY LANE LIC. NO. TEL. 509 8!9&28;3' ° PERMIT GRANTED DATE E-� b 19 q f. GAS INSPECTOR 77� 4,,sir y •'r +EG •:.: 'a .i„" " f.... ,�M 7ri:` -xv ,•r{ -• ; 'i.'•4 "• fir. TOWN'OF BARNSTAI;LE Perrriit.'No 26469 Building Inspector IIAMIT.a, ¢ Cash M, -x UPAN - .Bond �OCCC�Yr PERMIT Issued to. . :Cedar Aqms l�i§lty, - " Address •• 'P1.I� oim t .o ICY Wiring Inspector ' Inspection,date C _ , Plumbing Inspector ����� ,� Inspection date n. Gas,Inspector '\ '� ' ` Inspection date t Engineering Depai+menu �r � f� A �� dnspegion date 5 s Board of Health, `~ Inspection-date; THIS•PE RMIT WILL.NOT. BE ,VA'LID, AND THE'BUILDING SHALL,NOT. BE•,OC.CUPIED 'UNTIL i.. SIGNED; BY, THE -BUILDING INSPECTOR UPON' SATISF.ACTORY.-COMPLIANCE',WITH' TOWN` REQUIREMENTS AND IN •ACCORDANCE,WITH',SECTION.119.0,;OF'THE MASSACHUSETTS STATE,,- BUILDING- CODE: • Joy ls�� _.. . ` �� - �, Building nspe 'tof' - FROM: - NSTOLr TOWN OF.BAR Mr. Francis Lahte ne - BUILDING DEPARTMENT*, ,. Toian +clerk 387 MAIN STREET . HYANNIS, MX 02 . 'Phone; 776-1120 SUBJECT.. FOLD HERE. - 'DATE - - September .14: 198 3��� s• " . .Work'has' been completed tinder Building Permits #26469 #24678' (Dennis Star . Construction. & Cedar Acres Realty Trust)_ 'Please release Bonds.. : Al j DATE77 , Yam_ s .. .. - £..i'. • - SIGNED N87•RMI r - r YA - - PRINTED IN U.S.A.. SENDER:SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. e r s / As cssor'srmaj�,,an'd lot number' WE Sewage Permit number ...........11 ........ ....... . . 33 STADLE, i >f House number ::................'......... `)... ...........%..h'..,. ..... ,.a'►li.. ;► 639 lic EC) tie G :fi , t,� s' 7 e t +' . ` TOWN OF BARNSTAvBILE 5 : BU.ILD��ING -NSCODE AND P°ECT.OR 4 , . Cons truct APPLICATION FOR PERMIT TO ..... ... .... ...... . ........r............. ............................................ ......... TYPE OF CONSTRUCTION' .............I ...... Wood...Frame.. _' b....... ... November, 30, 8 3 ............. .. 19. ... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies.for a„permit according to the foilowtrig information: Location. .....................................................Plnevlew.:. .hdf Q!i.. .cQ. >�, .r .. ..... ................................... ProposedUse ...............:�.S dential ........ ............................................................ / .................... ......................... Zoning District ...........:. ..:......:.....:.....:...............:.................Fire District .............:..CQ.t.%0;......................................... . - �!c�oJA2 acres 2.�R�ry . ' ..... a Name of Owner .:.........SPero...Theohar;idis..............Address 24....Qr.Q t..PQ.ITG�.. ? Y c...5..,...xAKMQ.1 .t11r lylA Name of Builder ........:S.�.....:................................:: Address ............ .. Si G.................................... ........ Name of Architect ...........Address y Number of Rooms ........`5. ....................................................Foundation ...............rPAll�e.d. n� cxete....................... Exterior .GQ.d.4K..S.hiAgle..............:...... g Floors ......... E.IYW-Q—Od.......... ....................Interior ......................SheetrAck...................................... Heating :........:;FHW... Gas..............:.......... ........Plumbing ....................2..Bath..:.. ................... Fireplace ................:......Qne.................................; ..............Approximate. Cost ......$.25.,A.AO................. Definitive Plan Approved .by Planning Board19________ Area .......l: ...' Diagram of Lot and. Building with Dimensions s.. x E Fee ... .. .. SUBJECT TO'APPROVAL OF BOARD OF HEALTH' r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS ti I hereby agree to conform,to all the Rules and Regulations of the Town of Barnstable regarding the above construction. .' • Name s�G"�....� .. .. ....... .. . r • Construction Supervisor's License ..............:.. CEDAR ACRES REALTY One Sto No 26469 Permit for zY f fi Ingle Family Dwelling i .. .`r.............................. ................. ................. �J. A _ r - �.., _ Lo?Lion Lot 50.,' 87 Pineview Driv. e _ r Cotuit .......................................................................... .� Owner ..Cedar Acres Realty......................... r y Frame .. � •• �- ., �_ .. - Type of Construction' ......................................... ........... ..........'........... w Plot.............................. Lot' ................................ N1ay 22' 84 Permit',Granted ................ ..............19 Date'of, Inspection, Q.........19 Date Completed ....��� - ?.. 19 1 /mEREffy cERrW TNAT THIS 73'r/J NOT WCATEO /N FEOEVI. Fi.000 /V 1 -P ZONE �l" S S/y! WN ON THE FEACe.4 . Fl.000,/NBURANCE RATE. AAP FOR THE TOWN OF CD UN/TY PANE.G ADO, 428, EFFECT/YE DATErIQ 'Mr E. Ar ONO, A E I hereby certify that this foundation a i located on the lot as shown and conformed to the Town of Barnatable Zoning Regulations,regarding setbacks from street lines lot lines at the time it was n c x• , OCR r - .125,Oo' - LOT SO LOT -fq '23, 125 5.F t } poi SI o o 66 '��� EXISTING FOUNDATION N �� - 126-00 V[EW . DRI. -/,Y[ VE • aria ^or �m wAJ wrawOE tnw. FOUNOAT/ON �GOC.4T/ON`P�.AN AIM IAsr IlA/iENT�TaewyANO a FOR THE LOT 50 - PINEVIEWUSE OF THE BANK OhbG Y. UNER NO DRIV C/RVZ1W$Ti1 NCES ARE, Of FSET.S T 0 0E USES FOR fENCE�9, WihG HEOt�EB OT U I T (BARN5,TABL.E) I l A SS . . . r i ETC,. OWNER SY' CEDAR ACRES. REALTY TRUS 1H OF A�P�1'DII' E�' NE'!�if hvG INC. ROBERT. 7G �p E�18T F kMOt/M MIGHWAY E. �,� EAST F.4�t, 1NffH ALA. O'r3 •. RAYMOND ,. �; /�7 6 • Na 21583 - d 4E: DATE hEET= �9�9F S , R���� : 30' M Y 18 /9 4- l OF/ RSN" / Al � DYE frN Na Ai>�ssor's map 'and lot number ©.'...�`� 1�..............° . r f Sewage Permit number —' -- - j(�] /�J Z BA"ST&BLE, i ("louse number ........................::....`..:....C............0................ y MABa t639 \e� MPY a TOWN OF BARNSTABLE { BUILDING INS-P-ECTOR - • - . t Construct APPLICATION FOR PERMIT TO........................... . f TYPE OF CONSTRUCTION .............:...................Wood Frame .................................................................................................... November 30, 83 ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Dr ve Location .........................Lot.. 50,.Pineview...AYE...Cotuit.... ................................................................ ProposedUse ...............Re.sidential................................................................................................................................. Zoning District .............. F........ ... .......... Fire District ................COtll .............................................. .n.... 4 JO,AQ 6GrP9 R-efl Tl' Name of Owner ...........gpero.•Theoharidis Address24...Great Pond Drive, S. Yarmouth.,, MA ............................. Nameof Builder .........S3,m ................................................Address ......................S.ame................................................... A r Nameof Architect .......NA.....................................................Address ......................Na........................................................ Number of Rooms 5 ...........Foundation ................PQ.Pxe�.. e .................................. . .......:. :.. t < ,.°. - Exterior ......................... ........................Roofing ......................A5.9114.1.t........................................... P� W90 ..........................Interior ......................Shp—et rwk...................................... Floors .................................Y.........4�.............. Heating ........................FEW...--...Ca.a...................................Plumbing .....................2....R_.a b.............................................. Fireplace .......................Qne...................................................Approximate. Cost .......$25.1.10.0............................................ Definitive Plan Approved by Planning Board ________________________________19--------. Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH t RF y l J Ll ' OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above' _ construction. Name .............. .. ..y ... Construction Supervisor's License 4l ................. qEDAR. ACRES REALTY TRUST A7--40-118 qj No 2.646.9..'.. Permit for ..One..Story..................... ........... Single„Fami1X„Dwelling ......................... Location .... 87.....Pineview Drive ..... ................................. ...................Cotuit.............................................. Owner ....Cedar.. ....................... .... ...... ........... Type of Construction .....Frame........................... ...... ................................................................................ Plot ............................ Lot ................................ Permit Granted ......May--22-r-........... .....19 84 Date of Inspection ..............19 Date Completed ......................................19 <1 77- )77- 777, vm 0,be �,all-JDxtO r ib triffi E E t 0) CO C) 0 > U) 0, u m ri'm coi 1 0 E 0 E 0 J- (D 0 C 0 Z CO CO ftoeS��.Ca) JL6 2x8 ra LO, Ca -sheathing W/ /2.11L b- ps r h �roo :s, ing es ma h:OX 0 '4 A Al c lb to It lgjoists�t::4Iv' b)�j§b -2x ng oun a ion d t 6-c e ucket b oard �Ca cei ing �i 0 777 .7 7 -7 boade t Q) U OL(j x 'con in h� C� 7, t 7 -C 9 JOJ s im son hAngors Cz ',�3- 7 4 EVE 7 attad h 0� SL W mm I m 1 11 77 ndiler� p to, r s&bbns/wndo a !2LX 1'6 'o 4,I'd t 4 4 ex n u I r P e o .2/�x spr (4 -11 Cj OL CU §-,po s s :on (D N r u es w t b 8"f I V....... bidtoot ba§6 r e 9 48 Wow t as hd6 1 )4 IJ6st§ b6t pen \Ns o S AC/LCE4 aps Op� o 0 M 0 - posts 0, 6d b tt t 1 2 -10 '!a U �po s ases, 3 'A on t b G I PS X f6,'Of 8 jo i t6 2 visions: 5 S i nips'O n 9 2 10 1 d e ger @ &,�rim, 6 use ,sam 10 N A Note' v n eVati o n, tc yide WS. d Jr�tho 9616 Ourp' pseen te s up 'aeb f( Overnent an P! Us O'Of 2i Home' mor d ar�t d 6r 6sedfor constrUCIlon UL tj I 0 ute i b be,6 H en, ZZI